Bachelor of Science in Nursing (BSN) Checklist

PRINTABLE BSN CHECKLIST (PDF)

INSTRUCTIONS: Initial each item as it is completed. This checklist and the documents listed below must be received by the Health Sciences Specialist, Health Sciences (Health and Science Education Center, HSC 133).

Completing the checklist does not guarantee admission into the program. Completed checklist packets are accepted for review throughout the year. Once all documents are approved, applicants are accepted on a first-come, first-served basis, according to the date stamped on their checklists.

Once Registered for the BSN Program:

 ____  1.I have attached a signed and notarized Affidavit of Good Moral Character form.
 ____  2.I have verified with the Registrar’s Office that my student contact information is correct.
 ____  3.I have read the BSN Nursing Student Handbook and signed the Student Handbook Signature Page.
 ____  4.I have read the Consent/Student Confidentiality Agreement and signed the acknowledgement located in the BSN Nursing Student Handbook.  
 ____  5.I have read and signed the Acknowledgement of Receipt of Notice of Privacy Practices.
 ____  6.I have completed the Student Health History/Family and Personal History Form and attached the signed forms.
 ____  7.I have attached a copy of a valid government-issued photo identification or driver’s license.
 ____  8.I have completed the Basic Life Support (BLS) for Healthcare Providers or higher (ACLS, PALS) course and a current copy of my certification card is attached. This card will be valid throughout my enrollment in the SFSC nursing program.
 ____  9.I will provide proof of any medical or other requirements upon request to representatives of SFSC Nursing Department or its clinical affiliates.
 ____  10.I have attached a copy of my valid, unencumbered Florida RN license.
  11.I have read the Student Essential Technical Standards. I had my medical provider complete the SFSC Nursing Department Health Form, and read and signed both forms.
 ____  12.I have completed the 10-panel drug screen as directed, and attached the required receipt (blue copy).
 ____  13.I have read the Student Essential Technical Standards. I had my medical provider complete the SFSC Nursing Department Health Form, and read and signed both forms.

Program exit requirements:

 ____  1.I have completed two years of high school instruction in the same foreign language, or completed a minimum of eight college-level credits in one foreign language, per Florida Statute 1007.262 prior to graduation.
 ____  2.I acknowledge that I must maintain a minimum grade of “C” in all BSN-level courses.

Student Name (Printed): _____________________________________________________

Student Signature: _________________________________________________________

Student GID: _____________________________________________________________

Date: __________________________________________________________________

 

Reviewed by: _____________________________________________________________